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20130121
20130129
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CSPAN 20
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English 20
Search Results 0 to 19 of about 20 (some duplicates have been removed)
own purdum much. we need to build a health-care system that is about -- today, it is all about aging and affluence and diabetes and health care. for the future, it must connect to the internet. mobile internet is the most important technology on the planet. and it has to serve the largest group of health-care workers in the world. and that is not doctors and nurses. they are outnumbered 10 to one by informal family caregivers. that is, you and the caring for kids, our parents, our brothers and sisters. that is a group that has to address, consumers. and number three, number one engagement transaction for consumers that they do every day, that they think and they believe and they know will keep them well is to swallow their daily pill. if you think about these massive transitions that have occurred in financial services, retail, commerce, the key is to find a transaction that consumers already engaged in that that is something they want or need to do. just like in financial services, they digitize banking by having people pay their bills and trade their stocks on line. we have digitiz
not know if the health-care cost dragon has been slain or is just hibernating. how much of the slow increase comes from the sluggish economic recovery where people without insurance postpone care over which they don't have any kind of discretion at all, and what about the chronic conditions that continued the development of more sophisticated and expensive treatments and tasks? and for the most expensive health care program there is the fact that 10,000 baby boomers are joining me in the over 65 club every day. despite the encouraging numbers about 2011 there is still a lot about this issue to be discussed and analyzed. and here we are with what i think is going to be a very good program on that topic. we are fairly pleased to have, as our partner in today's program, the commonwealth fund. and we are especially pleased to have as our co-moderator today, dr. david blumenthal. i will mention that his policy an analyst -- on top of his policy and analytical expertise he is a care -- welcome to your first online briefing as the head of commonwealth. we are pleased to have you here. >> i
it is for 13,000 pages. this will restrict our ability in life-saving medical devices. that is just healthcare. now the president is implementing his agenda. we will see that the benefits are far less than advertised. the costs of this agenda are huge. we spend when chilean dollars more than we take in each year. we spend $1 trillion more than we taken each year. we cannot keep that up. that is a moment where our economy stalls. we will have to convince the country to change course. we had to reform entitlements. we had to revisit the healthcare law. clearly president obama does not want us to get that chance. he want his last two years to look just like his first two years of his presidency. it was to perpetuate progressive government for at least a generation. why? he thinks it is the right and to do. to do that, he needs to delegitimize the republican party and house republicans, in particular. he will try to divide us. he will try to get us to fight with each other, question each other so we do not challenge him. if we play into his hands, we will betray the voters who supported us in the
the movement of healthcare? >> -- healthcare? >> we are not quite the movement, and it is good the alarm has gone off that there are consequences to the nationalization of healthcare that will destroy civil institutions, religious mostly in this case, that provide healthcare for nonprofits that do. think of the ironies. if you are a pro-life center and you get to 50 employees, you will have to provide abortion services? civil institutions, religiouswhen we , the health care issue did not get the attention. i do not know if i could define today what the alternative to obamacare really is overall. bits and pieces live through the night, like buying insurance in other states, tax reform -- heritage has done a great job of summing a comprehensive plan. i personally would tweak it a little bit. at the end of the day, when we have the opportunity, and i would urge the congress now. we have the house. why wait for the deadline for what they want to do? why doesn't the house pass everything a republican or a conservative would want so that americans can see this is the tax reform plan,when we had be
several efforts to do that, involving millions of patients through a large health-care system like kaiser and many others, in which we are doing research for doing actual practical trials in these very large groups -- or doing actual practical trials. the advantage is you are making discoveries in the place where they will be implemented, rather than doing it, for instance, in an academic center where they meet -- where there may be a gap between development and getting it to the community. there's also bringing in the community at the get go and making sure the kinds of questions asked will give you the kinds of answers that people in the community are looking for. >> reinvention is always appreciated for both of you. what type of oversight or financial controls are in place to ensure that federal funding is being used effectively to prevent and treat substance abuse, use, disorders, and mental illnesses? what needs to be done? what changes are needed? >> i will start with that question. for almost all of our programs, we do an evaluation to see what kind of outcomes we are getting and w
, issues of healthcare. proverbs notes this, without a vision, the people perish. they do not literally perish. they just bicker and fight and become so polarized they cannot get anything done. we are in need of a new common, national vision. not once only democratic or solely republican. we need at least one goal where we can come together. that is where we need to go. god has given you a unique gift, mr. president. you have the ability to cast vision and inspire people. you should have been a preacher. [laughter] [applause] god actually has you exactly where god wants you. yesterday you begin to lay out a vision for us in your inaugural address was very powerful and compelling. somewhere we have got to find and forge one or two that dreams or visions that people on the right and they left, republicans and democrats, can come together and back hands on this. you hinted towards that yesterday. we have to remember our picture of the promised land. when we do that, anything is possible in america. i offer one small example of the power of vision from the church i serve in kansas city. one
for healthcare, rising prices for insurance, people losing their coverage, which they are in droves now. companies putting people on part-time work so they do not have to provide them with insurance. all kinds of effects are happening. all those realities accumulate, and as obama pushes the envelope beyond where the american people are comfortable , we could actually have the fulfillment of him going too far and then getting lost opportunities. >> you are nodding. do you think it went too far? >> overreached -- bill clinton in 1994. republicans thought that in 2000 x where the new governor of indiana said, hey, republicans are going to act like democrats with all that spending and government expansion, they will just hire the professionals. and they did. then you saw in 2010, dialing back of the extremism of the first two years. yes, i would like to back up to your original question. i stand in a very small circle of conservatives who have said publicly that obama has significant advantages and would probably win. a recent i said that, i am a professional pollster. i saw a couple things
what are people concerned about that health-care costs. to a lesser extents one economic growth is stronger, maybe they're worried about issues related to the environment. these are not issues that republicans like to talk about. they're not issues that are good at talking about. this is where it emerged in the late 1990's from a time when bill clinton had been something republicans up and down washington. the whole point of bush was to craft a republican party that had something to say about education. something like the prescription drug bill was too big and should have been paid for. the republican party will never give back to the wilderness. we have to keep our brand pure and make sure americans and no where the party of small government. americans are confident that the republican party is the party's small government. they did not vote for the republican party. it is possible that he should not nominate mitt romney next time and get a true conservative, if you look at opinion polls, barack obama won the election because people thought he cared about people like us. that i
. for purposes of rallying public opinion behind issues like healthcare. the obama for america structure did not have the same kind of punch outside of a presidential election year that it did in 2008 and 2012. it will be interesting to see if they figure out how to unlock that forced and make it work this time. host: is that due to the agenda of the first term rather than not effectively using them? some pointed to the speech citing, liberal,. rists.r guest: those things dovetailed together. his grassroots support is more liberal than centrisrt. host: in "the new york times" -- guest: that is true. political cycles start much earlier than they have in the past. it is always hard to predict how long a presidential impact will last. if the democrats were to pick up seats in the senate or take back the house and 2014. it could extend his ability to get more done later in his term. at the white house, if you ask him about the timetables they have, they are very acutely aware of the risks of waiting beyond this year or early next year. they have got a lot of stuff backed up already. really testi
through healthcare reform. [applause]this means investing and preventative care and aligning incentives with patients to encourage healthy lifestyle choices. king county is already doing this and it is working. we will improve the health of all in washington as we move from sick care to the true health care system we deserve. we need to leverage our medicaid and state employee health care and engage healthcare providers and community clinics to find innovative payment models and healthcare delivery systems that incentivize quality over quantity, value over volume. [applause]effectively implementing the affordable care act, it will save us money. we will remove hidden tax of hundreds of dollars paid monthly by all our state insurance citizens. we can do this for the health of our families and for the health of our economy. when we make our health system more efficient, we lower the cost of doing business and our state. the state will have a clear advantage to recruiting and obtaining the jobs of tomorrow. this session, we must make sure washington gets this right first, and i look forwar
of the effort is. overwhelmingly, the u.s. government support in african countries. today category of healthcare, education, and agriculture. security is a very minor part, but an important part, but a very minor part. i think that is probably as it should be. the defense strategic guidance that i referred to in my opening comment tells me that in africa, we are to seek a light footprint and innovative approaches and low costs approaches to achieving the united states security objective. we have one base in africa. we have about 2000 people. it supports not only u.s. africa command, but u.s. central command and the transportation command as well. that is our residence on the continent. -- that is our presence on the continent. there are 100 personnel who are supporting africans in the effort to joseph kony and his senior lieutenants to justice. they are indicted by the international criminal court. there is a u.s. log that tells us to do that -- u.s. law that tells us to do that. if there is a law that tells us to do that, we go and do that. and it is important part of the consideration. as i me
to be a problem. host: one of our callers earlier talked about the federal health-care law and how realistic is dealing with it -- how real estate is dealing with it. can you still hear me? we can still hear you, can you hear us? i think we are having some phone issues. we will see if we can straighten that out. in the meantime we will go to a few more calls. let us go to holbrook, massachusetts on the democrats' line. caller: and i am greatly pleased with the job the governor is doing. the only thing that comes to mind is the vacant senate seat. patrick should nominate martha kolbe who is currently a -- currently an attorney general in that state. host: we will go to diane. would you think is going on in south dakota? caller: there is a lot going on here. i have lived here since 1979. the economy here has changed since then. we are in a mild recession. one thing going on here in hot springs where i live is, and they are planning to close our va hospital here. that is a big issue for not only south dakota but wyoming, nebraska, north dakota. people come from all over montana to go to our va.
with an aging population, rising health-care costs, global competitiveness and all those issues. guest: and the size ofconomist our deficit as well the democrats feel you need higher crop -- higher taxes to bring money into the treasury to bring -- to pay for services. host: linda in middletown, conn. caller: a previous caller said republicans should judged not lest they be judged for the fighting is, republicans love passing judgment on everybody else but themselves. like the way they constantly plot -- blamed the death of obama and totally distance themselves from the 80-year buildup of george bush. he spent as into this recession and obama has to spend to get us out especially since the republicans and their corporate bodies have done nothing to create jobs. the republicans voted against the president's jobs bill which was a slap in the place for americans looking for work. host: what did you hear? do you suspect president obama will initiate more spending? guest: there are a lot of constraints about that and when you look at it from an economic perspective, there is more fiscal con
to the health-care exchanges. coverage of mental health and substance abuse disorder services is one of the 10 essential benefits required in qualified health plans. the insurance expansion of first challenges and opportunities. experts predict that the newly insured population will have a greater need for mental health coverage. as we think about how to meet this need, there's an opportunity to realign our health-care system to better integrate primary care and mental health services. in reading of the testimony last evening of our witnesses, many of our witnesses spoke about that, this integration of primary care and mental health services. this committee has been very supportive of the expansion of community health centers. they have been a great addition, they are wonderful primary care providers. how do we integrate mental health care services in with those community health care services? 50 years ago, president kennedy signed the act of 1963, which led to a major shift. people who -- the results were mixed. many people were not able to access the community-based services and treatment th
, the economy, healthcare, reducing the deficit, or addressing climate change. he is respected by leaders of the government, and if you add it all up, i think he is spent most of the last four years leading interagency meetings, hearing people out, listening to them, forging consensus, and making sure policies are implemented and everybody is held accountable. he always holds himself accountable first and foremost. it is no easy task, but through it all denis mcdonough does it with class, integrity and thoughtfulness for other people's point of views. he is the consummate public servant, he plays it straight and that is the kind of teamwork that i want in the white house. time and again i have relied on dennis to help in the outreach to our immigrant and faith communities. he understands that in the end our policies and programs are measured in the concrete differences that they make in the lives of fellow human beings and the values that we advance as americans. he insists on knowing for himself the real world impact of the decisions that we make, so away from the cameras without fanfare
are much greater than we originally thought and we will reverberate through the health-care system is four years to come. finally, i would like to tell the committee about a program called mental health first-aid. it we believe in educating communities about mental health. you may know mental health disorders often began manifesting as early as 14 years of age. according to the american psychiatric organization, the first obvious signs occur between 18-24. on average, it takes eight years of the treatment. from the time treatment begins, the cost of medicare -- mental health care services are higher and effectiveness is reduced. that is why we are excited about mental health first aid, early intervention and early detection and implemented run the enough to help millions of our citizens in psychiatric distress. this to be similar to first-aid training by the red cross. this is key to the public health approach. mental health first-aid training has been offered to police officers and other first responders from rhode island, denver, dormitory staff in colleges across the country and local y
understand it was the fastest growing area of spending, rising health-care costs. we need to change the way we pay for health care in this country so its value-based and no longer volume based. would that help improve the fiscal outlook if we could make that conversion to a different payment system? >> yes. i do not want to speak for my bosses. we are coming out with a report where we look specifically at this question. one of the areas we focus on, we have to look away from the payment system to a more orderly system and moved it away. we believe that will help control costs overall in the medicare area. that also, since 50% of health care -- i knew you were involved in that work. a comparable bowl record is coming up. i appreciated mr. brady's comment. moving to equality-based reimbursement system. that will be key to the fiscal outlook. there is a lot we could follow up on. thank you for this during -- hearing. >> recognized for five minutes. >> thank you. i have been listening to this testimony all afternoon and i have to say, i am embarrassed to hear some of the comments that have been
to improving physical health care by simultaneously lowering overall health-care costs. our expertise is part of the solution to meet the travel and of health care. reduce costs, improve health and quality outcomes. we're grateful that it launched primary-care and behavioral health integrated care programs. and since has launched 94 programs across the country. to have happened to land at center stone. and reducing the total health care costs by making sure services for behavioral health and physical health are provided at the same location. we have a substantial and complex task before us. we cannot solve these issues alone as providers. this is a watershed moment that the man's courage and action. everyone in this room shares responsibility for the future of community and a mental health. health centers stand ready to work with you. elected representatives and officials to make a difference in the u.s. mental health care system. >> please proceed. >> thank you for always being there for us for mental health. it is interesting. as i hear the discussions happening around the room. i think you
Search Results 0 to 19 of about 20 (some duplicates have been removed)